Provider Data Management Specialist – Enrollment

Sutherland

. Enter, update, and maintain provider information in internal health plan systems .

Posted 9/17/2026full-timeRemote • United States, EgyptMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in maintaining provider information and ensuring compliance with CMS, HIPAA, and state/federal regulations. Strong analytical and organizational skills are essential for conducting audits and managing data integrity.

Highest-signal resume keywords

Provider Information ManagementData Validation and ComplianceAnalytical and Organizational SkillsMicrosoft Office Suite ProficiencyCustomer Focus

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Data EntryData AuditingCredentialing Data ValidationTyping Speed of 40 Words Per MinuteWeb-Based Application Navigation

Soft Skills

Strong Written CommunicationAttention to DetailMultitasking AbilityReading and Listening ComprehensionTask Prioritization

Tools & Technologies

Health Plan SystemsMicrosoft Office Suite

Industry Keywords

CMS ComplianceHIPAA ComplianceState and Federal Regulations

About the role

Key responsibilities & impact

Enter, update, and maintain provider information in internal health plan systems
Validate provider credentialing data, contracts, and demographic information
Ensure provider records comply with CMS, HIPAA, and state/federal regulations
Conduct routine audits and reconciliations to maintain data integrity
Review and load required data into the health plan system according to process guidelines
Manage and monitor daily activities and meet set targets
Work independently and complete tasks within established timeframes with minimal supervision
Prioritize and complete all job duties
Adhere to changes based on department and/or business requirements

Requirements

What you’ll need

Strong written communication skills in English with clarity and accuracy
Strong reading and listening comprehension skills in English
Well-developed analytical, logical, and organizational abilities
Ability to prioritize tasks and process intakes accurately and timely
Keen attention to detail and ability to multitask in a fast-paced environment
Strong customer focus
Proficiency in Microsoft Office Suite
Experience navigating web-based applications
Typing speed of at least 40 words per minute with accuracy and efficiency
Excellent internet connectivity, hard-wired
Productive, secure, and distraction-free work environment

Benefits

Comp & perks

Employees can work remotely
Excellent internet connectivity, hard-wired
Productive and secure work environment, distraction-free
EEO and legally protected status protections
Confidential handling of employment information